National Provider Identifier Database

LAS VEGAS CLINIC FOR CHILDREN YOUTH
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

LAS VEGAS CLINIC FOR CHILDREN & YOUTH
501 7TH STREET
LAS VEGAS, NM87701
Phone: 505-425-3566
Fax: 505-425-3568
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for LAS VEGAS CLINIC FOR CHILDREN & YOUTH

NPI Number 1558429720
Legal business name
LBN
LAS VEGAS CLINIC FOR CHILDREN & YOUTH
Authorized official GEORGE BUNCH - (PRESIDENT MD)
Entity Organization
Organization subpart No
Enumeration date 12/04/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NM Medicaid: 49395

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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